{"id":10979,"date":"2024-03-22T04:06:42","date_gmt":"2024-03-22T04:06:42","guid":{"rendered":"https:\/\/pato.com.sg\/vascularclinicwebsite\/?p=10979"},"modified":"2025-10-27T12:43:02","modified_gmt":"2025-10-27T12:43:02","slug":"open-aortic-aneurysm-repair","status":"publish","type":"post","link":"https:\/\/www.vascularclinic.sg\/vi\/open-aortic-aneurysm-repair\/","title":{"rendered":"S\u1eeda ch\u1eefa ch\u1ee9ng ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 m\u1edf"},"content":{"rendered":"
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V\u1edbi t\u1ea5t c\u1ea3 nh\u1eefng ti\u1ebfn b\u1ed9 hi\u1ec7n \u0111\u1ea1i trong \u0111i\u1ec1u tr\u1ecb ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, t\u1ea1i sao nh\u1ea5t thi\u1ebft ph\u1ea3i ph\u1eabu thu\u1eadt h\u1edf ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7?<\/p>

Th\u1ee9 nh\u1ea5t, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb khi k\u00edch th\u01b0\u1edbc tr\u00ean 5,5 cm m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Tuy nhi\u00ean, khi b\u1ec7nh nh\u00e2n \u0111au b\u1ee5ng, \u0111au l\u01b0ng v\u00e0 c\u00f3 ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch l\u1edbn h\u01a1n 5,5cm th\u00ec ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n kh\u1ea9n c\u1ea5p, t\u1ed1t nh\u1ea5t l\u00e0 c\u00f9ng ng\u00e0y nh\u1eadp vi\u1ec7n.<\/p>

Second, over 99 % of the aneurysm can be treated by stenting but there are times that the aneurysm will require a customized (tailor-made) stent device and this will take up to 8 to 12 weeks to make. Hence, we cannot wait that long because the aneurysm would rupture.<\/p>

Thirdly, when the anatomy is very complex, the risk of putting a stent inside a patient may not be lower than open surgery. Take an example a complex four-fenestrated stent (stent with 4 branches) used in the treatment of aortic aneurysm<\/a> will have a 6 to 8 % 30-day mortality but open surgery will carry around a 5 % 30-day mortality risk.<\/p>

Cu\u1ed1i c\u00f9ng, c\u00f3 d\u1eef li\u1ec7u khoa h\u1ecdc r\u1ea5t t\u1ed1t r\u1eb1ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb v\u00e0 c\u00f3 th\u1ec3 s\u1ed1ng tr\u00ean 5 tu\u1ed5i th\u00ec ph\u1eabu thu\u1eadt m\u1edf s\u1ebd t\u1ed1t h\u01a1n v\u1edbi \u00edt can thi\u1ec7p h\u01a1n v\u00e0 Vi\u1ec7n H\u01b0\u1edbng d\u1eabn Xu\u1ea5t s\u1eafc L\u00e2m s\u00e0ng Qu\u1ed1c gia \u1edf Anh v\u1eabn khuy\u1ebfn ngh\u1ecb ph\u1eabu thu\u1eadt m\u1edf l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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This gentleman had a successful open aortic aneurysm repair by Dr Tang and Dr Wong 6 months ago. He is now back playing golf. His midline abdominal wound has healed up nicely and he now won\u2019t need any surveillance CT scans for his abdominal aortic repair compared to if he had an endovascular stent repair which would need lifelong surveillance.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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<\/div><\/div>
<\/div><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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Li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i h\u00f4m nay<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\"Dr\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
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B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ti\u1ebfn s\u0129 Tang Tjun Yip<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Tang \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ed5ng qu\u00e1t v\u00e0 m\u1ea1ch m\u00e1u cao c\u1ea5p <\/a><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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Ti\u1ebfn s\u0129 Julian Wong<\/a><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\t\tB\u00e1c s\u0129 Wong \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 cao v\u1ec1 s\u1edf th\u00edch v\u00e0 k\u1ef9 n\u0103ng l\u00e2m s\u00e0ng chuy\u00ean bi\u1ec7t trong nhi\u1ec1u t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tFacebook-f<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\tLinkedin-in<\/span>\n\t\t\t\t\t\t<\/i>\t\t\t\t\t<\/a>\n\t\t\t\t<\/span>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

V\u1edbi t\u1ea5t c\u1ea3 nh\u1eefng ti\u1ebfn b\u1ed9 hi\u1ec7n \u0111\u1ea1i trong \u0111i\u1ec1u tr\u1ecb ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, t\u1ea1i sao nh\u1ea5t thi\u1ebft ph\u1ea3i ph\u1eabu thu\u1eadt h\u1edf ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7? Th\u1ee9 nh\u1ea5t, ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb khi k\u00edch th\u01b0\u1edbc tr\u00ean 5,5 cm m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Tuy nhi\u00ean, khi b\u1ec7nh nh\u00e2n \u0111au b\u1ee5ng, \u0111au l\u01b0ng v\u00e0 c\u00f3 ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch l\u1edbn h\u01a1n 5,5cm th\u00ec \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh\u2026<\/p>","protected":false},"author":1,"featured_media":11130,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[8],"tags":[],"featured-on":[],"class_list":["post-10979","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doctors-column"],"acf":[],"yoast_head":"\nOpen Aortic Aneurysm Repair<\/title>\n<meta name=\"description\" content=\"With all the modern advances in the treatment of Aortic Aneurysm, why is it necessary to do open aneurysm surgery? 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